| NPI | 1558784157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1540) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 7726) |
| 101YM0800X Counselor, Mental Health (Licence: NE 10032) | |
| 101YM0800X Counselor, Mental Health (Licence: MT 49386) | |
| Enumeration Date | 2014-02-03 |
| Last Update Date | 2024-03-05 |